Individual
DR. KELLY O'HEAR SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0066275
CO
207LP3000X
Pediatric Anesthesiology Physician
A132695
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029242
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/29/2013
Last updated
06/30/2021
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